MEDICARE: MR. RON DEWAYNE RANDALL MED LPC LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	3617	TX
2	101Y00000X	Counselor	5254	TX

General Provider Information

NPI Number	:	1932205705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RON DEWAYNE RANDALL MED LPC LMFT

Provider Business Mailing Address
First Line	:	3404 MARTIN LYDON
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-1419
Country	:	US
Telephone Number	:	817-927-5462
Fax Number	:	817-920-9553

Provider Business Practice Location Address
First Line	:	2707 AIRPORT FREEWAY
Second Line	:	SUITE 213
City	:	FORT WORTH
State	:	TX
Zip	:	76111-2370
Country	:	US
Telephone Number	:	817-920-9779
Fax Number	:	817-920-9553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	04/24/2019

Similar Medicare Providers

1801841762 — DR. KISHORE SUNKARA M.D.
Practice Location Address:

2707 AIRPORT FWY , SUITE:216
FORT WORTH, TX
76111-2370

Practice Phone: 817-763-5665
Practice Fax: 817-763-5695

1235157165 — SUNDANCE BEHAVIORAL HEALTH CARE, INC
Practice Location Address:

2707 AIRPORT FWY
FORT WORTH, TX
76111-2370

Practice Phone: 817-222-9191
Practice Fax: 817-222-9797

1811907454 — MR. ROBERT A GUSTAFSON LCSW
Practice Location Address:

2707 AIRPORT FWY STE 225
FORT WORTH, TX
76111-2370

Practice Phone: 817-937-7417
Practice Fax:

1982615936 — JUDITH KATHLEEN EVANS LPC
Practice Location Address:

2707 AIRPORT FWY
FORT WORTH, TX
76111-2370

Practice Phone: 817-480-8703
Practice Fax:

1164598298 — JENNIFER ANNE CHESTER LCSW
Practice Location Address:

2707 AIRPORT FWY , SUITE 224
FORT WORTH, TX
76111-2370

Practice Phone: 817-939-7884
Practice Fax: 682-647-0464

1770633935 — BARBARA G HOWARD PHD
Practice Location Address:

2707 AIRPORT FWY STE 212
FT WORTH, TX
76111-2370

Practice Phone: 817-335-5488
Practice Fax: 817-335-7121

Directions to “ MR. RON DEWAYNE RANDALL MED LPC LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.